RNC-MNN
Study online at https://quizlet.com/_gdz894
1. Eve is 2 days postpartum. During palpation, where b. 2 fingers below umbili-
would you normally expect to find her fundus? cus
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time
2. Keisha delivered her third child about 24 hours ago. d. after pains
She begins to c/o severe uterine cramping while
breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains
3. Three days after delivering her child, Gretchen calls c. engorgement
the 24 hour hotline. She is crying and states that her
breasts suddenly became "bigger" and "really hurt."
She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk
4. Tiffany delivered via cesarean 2 days ago. She is frus- c. the body's removal of
trated by constant perspiration and urination. This is fluids accumulated during
likely the result of: pregnancy
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum
, RNC-MNN
Study online at https://quizlet.com/_gdz894
period
c. the body's removal of fluids accumulated during
pregnancy
d. receiving excessive amounts of IV fluids during la-
bor
5. While assessing Sierra, a 32yo mother of 3, you notice c. distention of the blad-
uterine bleeding and find that her uterus is displayed der
upward and to the right. This is probably cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising
6. Olga, a 38yo patient whom you administered the a. avoid pregnancy for at
rubella vaccine, states that at her age she plans to get least 8 weeks after receiv-
pregnant right away. You tell her she should: ing the MMR vaccine
a. avoid pregnancy for at least 8 weeks after receiving
the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after re-
ceiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery
7. Joan is a 17yo and just delivered a healthy baby boy 6 b. mal-attachment
hours ago. She talks on her cell phone whenever you
are in the room and refuses to touch or hold her baby,
even when he cries. You overhear Joan tell someone
that the baby is "ugly like his father." Joan is most likely
experiencing:
, RNC-MNN
Study online at https://quizlet.com/_gdz894
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression
8. Recommended advice for breastfeeding mothers in- c. apply a warm compress
clude: to ease nipple pain
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each
feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them
with moist tea bags
9. Samantha read in the discharge booklet that postpar- b. ambulate frequently
tum patients are at risk for thrombophlebitis, and she
asks you how she can prevent this from happening.
You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs
10. Suzanne delivered vaginally 8 hours ago. She has uter- d. offer her a non-drug
ine cramping and rates her pain a "9" but refuses pain option such as a hot pack
medication. What is your best response regarding her or massage
pain?
a. tell her she should take the ibuprofen as prescribed
by her MD
b. encourage her to fight the pain because it will make
, RNC-MNN
Study online at https://quizlet.com/_gdz894
her stronger
c. ask her to use the call button if she changes her
mind about taking pain medication
d. offer her a non-drug option such as a hot pack or
massage
11. Emily is a 28yo mother of 3 who delivered vaginally c. massage her uterus un-
4 hours ago. She reports she is "bleeding a lot" and til firm
her perineal pad, changed 45 minutes ago, is fully
saturated. Palpation reveals a boggy uterus. Your first
intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD
12. Mei experienced premature rupture of membranes d. endometritis
during her pregnancy and her internal fetal monitors
placed during labor. She later delivered by cesarean.
12 hours after delivery, her HR is 104 and her lochia
smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis
13. You are preparing to discharge Maria after delivering c. I will call my nurse-mid-
a healthy boy. You believe Maria understands the dis- wife if I saturate a pad in
charge teaching instructions when she states: one hour
a. it is acceptable to have bleeding nipples after
Study online at https://quizlet.com/_gdz894
1. Eve is 2 days postpartum. During palpation, where b. 2 fingers below umbili-
would you normally expect to find her fundus? cus
a. at the level of the umbilicus
b. 2 fingers below umbilicus
c. 5 fingers below umbilicus
d. non-palpable at this time
2. Keisha delivered her third child about 24 hours ago. d. after pains
She begins to c/o severe uterine cramping while
breastfeeding. She is experiencing:
a. exfoliation of dead tissue
b. involution of uterus
c. shedding of the endometrium
d. after pains
3. Three days after delivering her child, Gretchen calls c. engorgement
the 24 hour hotline. She is crying and states that her
breasts suddenly became "bigger" and "really hurt."
She is experiencing:
a. colostrum production
b. a breast tumor
c. engorgement
d. overproduction of milk
4. Tiffany delivered via cesarean 2 days ago. She is frus- c. the body's removal of
trated by constant perspiration and urination. This is fluids accumulated during
likely the result of: pregnancy
a. changes in urine pH and a possible UTI
b. drinking too much fluid in the early postpartum
, RNC-MNN
Study online at https://quizlet.com/_gdz894
period
c. the body's removal of fluids accumulated during
pregnancy
d. receiving excessive amounts of IV fluids during la-
bor
5. While assessing Sierra, a 32yo mother of 3, you notice c. distention of the blad-
uterine bleeding and find that her uterus is displayed der
upward and to the right. This is probably cause by:
a. retained placental fragments
b. rupture of the uterus
c. distention of the bladder
d. cervical bruising
6. Olga, a 38yo patient whom you administered the a. avoid pregnancy for at
rubella vaccine, states that at her age she plans to get least 8 weeks after receiv-
pregnant right away. You tell her she should: ing the MMR vaccine
a. avoid pregnancy for at least 8 weeks after receiving
the MMR vaccine
b. get pregnant ASAP because of her age
c. avoid getting pregnant for at least a year after re-
ceiving the MMR vaccine
d. abstain from sex for 2 weeks after delivery
7. Joan is a 17yo and just delivered a healthy baby boy 6 b. mal-attachment
hours ago. She talks on her cell phone whenever you
are in the room and refuses to touch or hold her baby,
even when he cries. You overhear Joan tell someone
that the baby is "ugly like his father." Joan is most likely
experiencing:
, RNC-MNN
Study online at https://quizlet.com/_gdz894
a. exhaustion
b. mal-attachment
c. normal attachment
d. postpartum depression
8. Recommended advice for breastfeeding mothers in- c. apply a warm compress
clude: to ease nipple pain
a. avoid the use of a sports bra
b. wash the nipples with soap and water after each
feeding
c. apply a warm compress to ease nipple pain
d. "conditioning" the nipples by gently rubbing them
with moist tea bags
9. Samantha read in the discharge booklet that postpar- b. ambulate frequently
tum patients are at risk for thrombophlebitis, and she
asks you how she can prevent this from happening.
You instruct her to:
a. remain on strict bedrest
b. ambulate frequently
c. cross her legs while sitting
d. avoid elevating her legs
10. Suzanne delivered vaginally 8 hours ago. She has uter- d. offer her a non-drug
ine cramping and rates her pain a "9" but refuses pain option such as a hot pack
medication. What is your best response regarding her or massage
pain?
a. tell her she should take the ibuprofen as prescribed
by her MD
b. encourage her to fight the pain because it will make
, RNC-MNN
Study online at https://quizlet.com/_gdz894
her stronger
c. ask her to use the call button if she changes her
mind about taking pain medication
d. offer her a non-drug option such as a hot pack or
massage
11. Emily is a 28yo mother of 3 who delivered vaginally c. massage her uterus un-
4 hours ago. She reports she is "bleeding a lot" and til firm
her perineal pad, changed 45 minutes ago, is fully
saturated. Palpation reveals a boggy uterus. Your first
intervention is:
a. start IV fluids
b. place a catheter
c. massage her uterus until firm
d. call the MD
12. Mei experienced premature rupture of membranes d. endometritis
during her pregnancy and her internal fetal monitors
placed during labor. She later delivered by cesarean.
12 hours after delivery, her HR is 104 and her lochia
smells foul. You suspect:
a. endometriosis
b. mastitis
c. uterine cancer
d. endometritis
13. You are preparing to discharge Maria after delivering c. I will call my nurse-mid-
a healthy boy. You believe Maria understands the dis- wife if I saturate a pad in
charge teaching instructions when she states: one hour
a. it is acceptable to have bleeding nipples after
